Influencing factors of postoperative nausea and vomiting in patients undergoing egg retrieval with general anesthesia for in vitro fertilization-embryo transfer
10.3760/cma.j.cn131073.20231212.00603
- VernacularTitle:体外受精-胚胎移植患者全身麻醉下卵巢穿刺取卵术后恶心呕吐的影响因素
- Author:
Jinlian LIU
1
;
Qin HUANG
;
Caifeng HAN
;
Luyu WANG
;
Yang WANG
;
Mingya WANG
;
Jiechu WANG
Author Information
1. 北京大学第三医院妇产科生殖医学中心,北京 100191
- Keywords:
Fertilization in vitro;
Embryo transfer;
Anesthesia, general;
Ovum;
Postoperative nausea and vomiting;
Root cause analysis
- From:
Chinese Journal of Anesthesiology
2024;44(6):662-665
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the influencing factors of postoperative nausea and vomiting (PONV) in the patients undergoing egg retrieval with general anesthesia for in vitro fertilization-embryo transfer (IVF-ET).Methods:This was a case-control study. Medical records from IVF-ET patients undergoing egg retrieval with general anesthesia in the Center for Reproductive Medicine in our hospital from November to December 2020 were retrospectively collected, 52 patients with PONV were identified (group PONV), and 252 patients without PONV were selected as control group (group C). Univariate analysis was performed on the suspicious influencing factors, and the factors with statistically significant differences were included in the logistic regression analysis model to identify the influencing factors of PONV.Results:Compared with group C, statistically significant differences were found in the number of eggs, anesthesia time, and the proportion of PONV history and/or motion sickness history in group PONV ( P<0.05). The results of multivariate logistic regression analysis showed that a large number of eggs, long anesthesia time, and a high proportion of PONV history and/or motion sickness history were independent risk factors for PONV. Conclusions:A large number of eggs, long anesthesia time, and a high proportion of PONV history and/or motion sickness history are independent risk factors for PONV in IVF-ET patients undergoing egg retrieval with general anesthesia.